Individual
JENNY MARIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
4909 NW 27TH CT STE B, GAINESVILLE, FL 32606-6509
(352) 377-6008
(352) 377-7364
Mailing address
1023 SE 48TH TER, GAINESVILLE, FL 32641-7630
(229) 237-0725
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA57118
FL
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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